MATTIE DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013429

License Status

NOT RENEWED

Business

First Name

MATTIE

Last Name

DAVIS

Business Name

MATTIE DAVIS

Original Issue Date

04/14/1965

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005